| NPI | 1053848366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMICA ADAMS Clinical Social Worker 586-441-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091713) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-02-04 |